AMANDA LEAH SPARKS (NPI# 1699163816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699163816 |
Entity Type | Individual |
Full Name | AMANDA LEAH SPARKS |
Credential | LSW, NCC, LPCA |
Practice Address |
411 Court St Portsmouth OH 45662 |
Mailing Address |
411 Court St Portsmouth OH 45662-3932 |
Practice Telephone | 7403546685 |
Mailing Telephone | 7403548004 |
Enumeration Date | 2014-12-23 |
Last Update Date | 2020-09-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101Y00000X | Counselor | C.1902344 | OH | Behavioral Health & Social Service Providers |
N | 101Y00000X | Counselor | 166698 | KY | Behavioral Health & Social Service Providers |
Y | 101YM0800X |
Counselor Specialization: Mental Health |
E.20011683 | OH | Behavioral Health & Social Service Providers |
N | 101YM0800X |
Counselor Specialization: Mental Health |
QMHS | Behavioral Health & Social Service Providers | |
N | 171M00000X | Case Manager/Care Coordinator | CMS | OH | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0375975 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
411 Court St, Portsmouth, OH 45662 | 7403546685 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295280568 | Amanda Sparks | Behavioral Analyst | 16941 N Eagle River Loop Rd, Eagle River, AK 99577-7802 | 2016-08-16 |
1396227120 | Amanda Sparks | Physical Therapy Assistant | 5690 Watermelon Rd Ste 100, Northport, AL 35473-5008 | 2018-08-29 |
1578823894 | Amanda Nicole Sparks | Obstetrics & Gynecology | 2300 E County Road 540a, Lakeland, FL 33813-3825 | 2012-05-21 |
1801068465 | Amanda Lee Sparks | Chiropractor | 2301 W Sample Rd, Bldg 5, Suite 3b, Pompano Beach, FL 33073-3081 | 2008-03-24 |
Street Address |
411 COURT ST |
City | PORTSMOUTH |
State | OH |
Zip Code | 45662 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992306047 | Jacob Hock | Counselor | 411 Court St, Portsmouth, OH 45662-3932 | 2020-11-05 |
1417558818 | Evan Adkins | Case Manager/Care Coordinator | 411 Court St, Portsmouth, OH 45662-3932 | 2020-11-03 |
1861092694 | Kelsey Williams | Social Worker | 411 Court St, Portsmouth, OH 45662-3932 | 2020-10-30 |
1710585369 | Joshua Thacker | Counselor | 411 Court St, Portsmouth, OH 45662-3932 | 2020-10-15 |
1063010171 | Alec Meeker | Case Manager/Care Coordinator | 411 Court St, Portsmouth, OH 45662-3932 | 2020-10-12 |
1508464884 | Waylon Evans | Counselor | 411 Court St, Portsmouth, OH 45662-3932 | 2020-10-09 |
1992302301 | Valerie Rawlins | Registered Nurse | 411 Court St, Portsmouth, OH 45662-3932 | 2020-10-08 |
1013514660 | Jessica Nance | Case Manager/Care Coordinator | 411 Court St, Portsmouth, OH 45662-3932 | 2020-10-07 |
1881291581 | Michael Valentine | Case Management | 411 Court St, Portsmouth, OH 45662-3932 | 2020-10-06 |
1073110904 | Amber Fitzpatrick | Counselor | 411 Court St, Portsmouth, OH 45662-3932 | 2020-10-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528613346 | Stacia N Boyer | Nurse Practitioner | 1611 27th Street, Fulton Bldg Suite 101, Portsmouth, OH 45662 | 2019-08-08 |
1487210167 | Rose Speier | Registered Nurse | 920 Gallia Street, Portsmouth, OH 45662 | 2019-05-17 |
1083123491 | Megan Rhea | Case Manager/Care Coordinator | 901 Wahington St, Portsmouth, OH 45662 | 2017-09-28 |
1376061903 | Alanna Lee Reisinger | Physical Therapist | 522 Glenwood Ave., New Boston, OH 45662 | 2017-09-04 |
1871010967 | Nicole Lynne Johnson | Counselor | 800 Gallia Street Suite 600, Portsmouth, OH 45662 | 2017-08-29 |
1629595822 | William Zachary Nance | Counselor | 800 Gallia Street, Suite 600, Portsmouth, OH 45662 | 2017-08-28 |
1962929703 | Melissa Rodbell | Speech-Language Pathologist | 514 Union St., Portsmouth, OH 45662 | 2017-08-23 |
1346604626 | Todd Davis | Counselor | 2954 Walnut St., Portsmouth, OH 45662 | 2016-04-12 |
1083078406 | Gordon Sanders | Counselor | 2954 Walnut Street, Portsmouth, OH 45662 | 2016-04-12 |
1033573910 | Michael L Purdy | Nurse Practitioner | 1735 27th Street Waller Bldg Suite 302, Portsmouth, OH 45662 | 2016-04-07 |
Find all providers in zip 45662 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
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1457990285 | Keisha Nicole Whitney | Counselor | 201 Wynn St, Portsmouth, VA 23701-3141 | 2019-12-26 |
1326680877 | Kennedy Counseling Group | Counselor | 100 7th St Ste 104, Portsmouth, VA 23704-4800 | 2019-10-16 |
1508410382 | Ricky Lee Key Sr. | Counselor | Kaleidoscope Counseling and Case Management, 1712 Airline Blvd, Portsmouth, VA 23707 | 2019-07-30 |
1841857737 | Psychological Associates of Greater Hampton Roads Pllc | Counselor | 355 Crawford St Ste 333, Portsmouth, VA 23704-2819 | 2019-05-25 |
1831756790 | Breakthrough Therapeutic Supportive Services LLC | Counselor | 3026 Tyre Neck Road Ste J, Portsmouth, VA 23703-2526 | 2019-05-24 |
1457918427 | Dorla Johnson | Counselor | 3026 Tyre Neck Rd Ste J, Portsmouth, VA 23703-4500 | 2019-05-23 |
1467015834 | Glascow Health Services LLC | Counselor | 301 Goode Way Ste 105, Portsmouth, VA 23704-2266 | 2019-04-20 |
1922562909 | Dominique Myrick | Counselor | 528 Dry Run Rd, Portsmouth, OH 45663-8988 | 2019-01-24 |
1710466354 | Jennifer Cortes Morgan | Counselor | 355 Crawford St Ste 322, Portsmouth, VA 23704-2819 | 2018-08-13 |
1598272486 | Katelyn Gelineau | Counselor | 426 Middle St, Portsmouth, NH 03801-5017 | 2018-01-02 |
Find all providers in PORTSMOUTH |
City | PORTSMOUTH |
Zip Code | 45662 |
Please comment or provide details below to improve the information on AMANDA LEAH SPARKS.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.